NPIMap

Organization Active NPI

A Time to Rise - Counseling & Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brewer, ME
National Provider Identifier
1841756988
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
A TIME TO RISE - COUNSELING & WELLNESS LLC
Practice address
12 Acme Rd Ste 207
Brewer, ME 04412-1546
Phone
(207) 573-4722
NPI assigned
Feb 13, 2019
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy-Jo Fairbrother, LADCNPI 1356807499
Title
Clinical Director & Sud Counselor
Phone
(207) 573-4722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Mental Health Counselor 101YM0800X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

12 Acme Rd Ste 207
Brewer, ME 04412-1546

Mailing address

12 Acme Rd Ste 207
Brewer, ME 04412-1546
Phone (207) 573-4722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address progress@atimetorise-counselingandwellnessllc.org Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: progress@atimetorise-counselingandwellnessllc.org

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1841756988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ACME RD STE 207",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121546",
            "telephone_number": "207-573-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ACME RD STE 207",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121546",
            "telephone_number": "207-573-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TIME TO RISE - COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "FAIRBROTHER",
        "authorized_official_first_name": "AMY-JO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR & SUD COUNSELOR",
        "authorized_official_telephone_number": "207-573-4722",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "progress@atimetorise-counselingandwellnessllc.org",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-Mail",
            "address_1": "12 Acme Rd Ste 207",
            "city": "Brewer",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044121546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.